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MOOSE / F.T.R. FREE GLOVE OFFER CERTIFICATE
 
Rider Information: (Please print or type)

Name:___________________________________________________
Address:_________________________________________________
City:_____________________________________________________
State:____________________________________________________
Zip:______________________________________________________

Product Information: Glove Size (Circle only one) S M L XL 2X

1st Color Choice:___________2nd Color Choice_____________3rd Choice_____________

Mail this form with dated (after 8/01/03) receipt attached to:
(original receipt must be from a Parts Unlimited/Moose dealership - no mail order company receipts qualify)

Moose Racing
Attn: Roxane Erickson
P.O. Box 5222
Janesville, WI 53547-5222

We reserve the right to substitute. This certificate is worth no cash value. Allow 2-3 weeks for delivery.Expires 12/31/03.

MOOSE CONTINGENCY REGISTRATION CARD F.T.R.

Please print or type...
 
Rider Name:________________________________________________________________
Address:____________________________________________________________________
City:__________________________________________State:___________Zip:__________
Bike Brand:__________________________________________________________________
Bike Year:__________________________cc size:_________________________________
Class(es) your name will be found under________________________________________

Send to:
Moose Racing
Attn: Roxane Erickson
P.O. Box 5222
Janesville, WI 53547-5222

www.mooseracing.com  

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